NPI | 1538597000 |
---|---|
Former Name | KELLIE LINNE BELEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 15289) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027334) |
363L00000X Nurse Practitioner (Licence: FL APRN11020801) | |
Enumeration Date | 2013-10-21 |
Last Update Date | 2024-05-14 |