| NPI | 1336729532 |
|---|---|
| Former Name | KATHRYN MARIE LINDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-07-23 |