| NPI | 1487654257 |
|---|---|
| Former Name | CATHERINE W KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005002) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201709500) |
| 363L00000X Nurse Practitioner (Licence: MT 132563) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-10-07 |