| NPI | 1275043093 |
|---|---|
| Former Name | KARA M FUGLSANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016616) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-08-08 |