| NPI | 1538594742 |
|---|---|
| Former Name | CARRIE JO LUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990858-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 107877) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2022-07-21 |