| NPI | 1003329020 |
|---|---|
| Former Name | MARCELLA KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175576) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-06-19 |