| NPI | 1255866521 |
|---|---|
| Former Name | KELSI MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R33567) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-07-16 |