| NPI | 1407316714 |
|---|---|
| Former Name | KELLY FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18945) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH APRN.CNP.18945) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-05-09 |