| NPI | 1457529083 | 
|---|---|
| Former Name | KELLY LYNN MORIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81885) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN46427) | 
| Enumeration Date | 2008-02-18 | 
| Last Update Date | 2012-10-12 |