| NPI | 1174520118 |
|---|---|
| Former Name | KELLY JEAN LORENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 2899262) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2899262) |
| 367A00000X Advanced Practice Midwife (Licence: FL 2899262) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2023-06-14 |