| NPI | 1407313729 |
|---|---|
| Former Name | KELLY LYNN HANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024177340) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5018023) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-07-20 |