NPI | 1255393872 |
---|---|
Former Name | KELLIE RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP111628) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP111628) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-12-18 |