| NPI | 1629155809 |
|---|---|
| Former Name | KRISTIN LUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 12660017-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1920) |
| 363A00000X Physician Assistant (Licence: ID PA-1890) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-20 |