| NPI | 1033530266 |
|---|---|
| Former Name | KELLIE LEANNE HARLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 75515) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 75515) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2020-12-29 |