| NPI | 1235865874 |
|---|---|
| Former Name | KARLEE ROSE ILGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2431305) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-01-27 |