| NPI | 1497434872 |
|---|---|
| Former Name | KATELYN ALISSA AMMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14207-33) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WI 242068-30) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |