NPI | 1003676115 |
---|---|
Former Name | LINDSAY EDITH KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029467) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R231037) |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-27 |