| NPI | 1508810540 |
|---|---|
| Former Name | CASSANDRA IRENE LUNDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R154214-3) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R154213) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-08-30 |