| NPI | 1114573110 |
|---|---|
| Former Name | KELLI ELIZABETH MCLOUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN02386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN66560) |
| 363L00000X Nurse Practitioner (Licence: MA RN2267675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2267675) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-10-27 |