NPI | 1790063063 |
---|---|
Former Name | JULIE A LINDQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115525) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 139929 9) |
363LF0000X Nurse Practitioner, Family (Licence: MN 2554) | |
363LF0000X Nurse Practitioner, Family (Licence: WV 113922) | |
Enumeration Date | 2011-08-03 |
Last Update Date | 2024-09-30 |