| NPI | 1487114484 |
|---|---|
| Former Name | CALLIE MOBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-166451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1166451) |
| 363L00000X Nurse Practitioner (Licence: AL 1166451) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-11-02 |