| NPI | 1508321811 |
|---|---|
| Former Name | KELITA CARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN254240) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2021-10-13 |