| NPI | 1750884821 |
|---|---|
| Former Name | KALI MICHELLE BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005573) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005573) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-06-27 |