NPI | 1376089086 |
---|---|
Former Name | KELSEY L NEELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 1376089086) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704284772) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2024-04-03 |