| NPI | 1528754140 |
|---|---|
| Former Name | KELLY KOZIOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11016590) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9451198) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |