| NPI | 1518402072 |
|---|---|
| Other Name | REBECCA MICHELLE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DE L1-0042691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN640057) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |