NPI | 1174960488 |
---|---|
Former Name | KELLY ANNE FIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00426100) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR13853200) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2023-07-22 |