| NPI | 1437522182 |
|---|---|
| Former Name | KELLY DIANE LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129313) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129313 /RN 788639) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-01-14 |