| NPI | 1043546021 |
|---|---|
| Former Name | KALLI M KONOPASKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60691562) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 14383) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2017-03-28 |