NPI | 1386191856 |
---|---|
Former Name | KELLY JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 545994) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95025630) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |