| NPI | 1245914225 |
|---|---|
| Former Name | KALEY LAVEIGNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9343018) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |