NPI | 1053430702 |
---|---|
Former Name | KELLEY ANNE LEMOVITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01484) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 262959) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2018-12-05 |