| NPI | 1316386998 |
|---|---|
| Former Name | KELLY KRISTINE PARISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5377-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 193379-30) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-10-23 |