| NPI | 1962099390 |
|---|---|
| Former Name | YLLENA MARIE POPOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3014120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1159096) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014120) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |