NPI | 1568628493 |
---|---|
Former Name | AMBUR LINDSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN119218) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2012-07-12 |