| NPI | 1477098564 |
|---|---|
| Former Name | KELLY CLAIRE ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN199128) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA RN199128) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2017-03-16 |