| NPI | 1033843982 |
|---|---|
| Former Name | KATIE LYNN LONNGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95022840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95064303) |
| 163W00000X Registered Nurse (Licence: CA 95064303) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-10-06 |