| 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 |