| NPI | 1518631860 |
|---|---|
| Former Name | ERIN ANJANET KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ND R41329) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: ND R41329) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-06-01 |