| NPI | 1376855114 |
|---|---|
| Former Name | KELLEY ELIZABETH SICLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 517355) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2024-07-31 |