| NPI | 1942767603 |
|---|---|
| Former Name | KARLI J BROADWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009007A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28213907A) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-11-27 |