| NPI | 1124579222 |
|---|---|
| Former Name | AUGUSTINA JEWEL BILLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010779) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-06-05 |