| NPI | 1386659928 |
|---|---|
| Former Name | KELLY D. BRUMBELOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN112048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 112048) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-04-19 |