NPI | 1992177232 |
---|---|
Former Name | LYNDSEY JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015038472) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76963) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2016-01-05 |