NPI | 1477785392 |
---|---|
Former Name | CAROLYN LUNDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024168388) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168388) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2024-10-18 |