NPI | 1063909364 |
---|---|
Former Name | KELLY ALEXANDRA HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421544-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 831113) |
163W00000X Registered Nurse (Licence: NJ 26NR17897000) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00816700) | |
Enumeration Date | 2018-04-23 |
Last Update Date | 2022-03-09 |