| NPI | 1932761020 |
|---|---|
| Former Name | KELSEY THERESE LINDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6644) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6644) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-03-26 |