NPI | 1568777068 |
---|---|
Former Name | KATHLEEN LUNDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 076036037RN) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA 60099817) |
163WS0200X Registered Nurse, School (Licence: OR TSPA PP-12) | |
Enumeration Date | 2010-08-10 |
Last Update Date | 2011-07-08 |