| NPI | 1407346190 |
|---|---|
| Former Name | KELLY LYNN LITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F05180249) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-11-11 |