| NPI | 1316519721 |
|---|---|
| Former Name | KARA ANN AUGUSTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015833) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015833) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-06-02 |