NPI | 1487407375 |
---|---|
Former Name | KELLY MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F354534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718948) |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-08-28 |