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 |