| NPI | 1467829515 |
|---|---|
| Former Name | KELLY POTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20388) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 20388) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-08-09 |