| NPI | 1477867455 |
|---|---|
| Former Name | KELLEY MOCKUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN246110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN246110) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01247) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI CNPP37216) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-03-30 |