| 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 |