| NPI | 1093183642 |
|---|---|
| Former Name | KELLY MARIE NAVARRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 162782) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 162782) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-29 |