| NPI | 1285860742 |
|---|---|
| Former Name | JOANNE ANDREA LUNDGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TN 55385) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301099629) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-04-27 |