| NPI | 1427307115 |
|---|---|
| Former Name | KELSEY MICHELLE HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID NP-1408A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2270641) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2270641) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-09-28 |