| NPI | 1104070457 |
|---|---|
| Former Name | KELLI NICHOLE PASTRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN164623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 164623) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2022-10-05 |