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 |