| NPI | 1114440419 | 
|---|---|
| Former Name | KRISTIN LUNDY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27713RX) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 234588) | 
| Enumeration Date | 2017-07-19 | 
| Last Update Date | 2025-04-10 |