| NPI | 1073996021 |
|---|---|
| Former Name | KELLI L. CRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 111868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 71216) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-02 |