| NPI | 1306085592 |
|---|---|
| Former Name | KELLY HORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN082563) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA rn082563) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2022-09-07 |