| 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 | 2021-06-18 |