| NPI | 1780793935 |
|---|---|
| Former Name | JODI LYNN KYNDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R128893-1) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-08 |