| NPI | 1912364878 |
|---|---|
| Former Name | KATELYN MAXINE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006390A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006390A) |
| 163W00000X Registered Nurse (Licence: IN 28199169A) | |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2024-04-04 |