| NPI | 1194192476 |
|---|---|
| Former Name | KELLY MICHELE NORWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 104121) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 22569) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2018-03-17 |