| NPI | 1518665983 |
|---|---|
| Former Name | ELIZABETH JANINE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9802843-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 9802843-3102) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-03-25 |