| NPI | 1740735844 |
|---|---|
| Former Name | KATIE LYNN CONLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017025483) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ AP8859) |
| 363L00000X Nurse Practitioner (Licence: AZ AP8859) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8859) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-06-11 |