| NPI | 1275937179 |
|---|---|
| Former Name | KELLY O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9270387) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9270387) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-09-23 |