| NPI | 1972878965 |
|---|---|
| Former Name | CALLIE DEE KITTLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004842A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3007379) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2014-04-29 |