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 |