NPI | 1033407010 |
---|---|
Former Name | KELLY SYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4431) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4431-33) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2023-09-14 |