| NPI | 1184084600 |
|---|---|
| Former Name | KELLY ANTION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN209834) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN209834) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |