| NPI | 1184277444 |
|---|---|
| Former Name | KATELYN MARIE DEPOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 30810) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |