| NPI | 1558621805 |
|---|---|
| Former Name | KALEY FORNELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0002416-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO C-RXN.0001087-C-NP) |
| 163W00000X Registered Nurse (Licence: CO RN-204924) | |
| 163W00000X Registered Nurse (Licence: IN 28186184A) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0990416) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-10-12 |