| NPI | 1548677842 |
|---|---|
| Former Name | KATELYN BILLINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 79521) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2015-09-17 |