| NPI | 1255520219 | 
|---|---|
| Former Name | KELLY ANN SHERWIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003628) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003628) | 
| Enumeration Date | 2007-10-16 | 
| Last Update Date | 2025-05-23 |