NPI | 1043007974 |
---|---|
Former Name | MEGUMI MELDRUM KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17024-33) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 1110701-30) |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-07-07 |