NPI | 1972249399 |
---|---|
Former Name | MARNE MARIE LUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI F03220647) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 123430-30) |
Enumeration Date | 2022-05-09 |
Last Update Date | 2023-02-08 |