NPI | 1851365563 |
---|---|
Former Name | LINDA R GUNDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CNPCP000386) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: SD 199929112) |
363L00000X Nurse Practitioner (Licence: SD R026343) | |
363L00000X Nurse Practitioner (Licence: MN R1401378) | |
363L00000X Nurse Practitioner (Licence: IA A098703) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2013-07-22 |