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 |