| NPI | 1588188122 |
|---|---|
| Former Name | JENNIFER J LUNDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R184603) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-06-21 |