| NPI | 1376102293 |
|---|---|
| Former Name | AUDRA LYN AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009047A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28212891A) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-04-24 |