NPI | 1528778404 |
---|---|
Former Name | KELSEY MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2309337) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2309337) |
Enumeration Date | 2022-12-01 |
Last Update Date | 2023-01-16 |