| NPI | 1730524869 |
|---|---|
| Former Name | KALLIE BURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.500310) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.142053.MEDS-IV) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2021-12-09 |