| NPI | 1225371131 |
|---|---|
| Former Name | KELLY ANNE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO np0990563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 166191) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-07-15 |