| NPI | 1467827592 |
|---|---|
| Former Name | KELLY AUGSBURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-013789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-370455) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2018-03-05 |