NPI | 1457381816 |
---|---|
Other Name | KATHE DUANNE LUNDGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY5901) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 222749) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 222749) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |