NPI | 1265102834 |
---|---|
Former Name | MEGHAN LEIGH KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013105) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013105) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2021-12-01 |