NPI | 1407885023 |
---|---|
Former Name | REBECCA ANN LUNDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 042161) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2014-10-22 |