NPI | 1972944924 |
---|---|
Former Name | LAURA LEE LINZEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71004471A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004471A) |
Enumeration Date | 2013-07-07 |
Last Update Date | 2024-07-09 |