| NPI | 1588170815 | 
|---|---|
| Former Name | KELLY ANN MURTO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184917)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184917)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70413-FNP-BC)  | |
| Enumeration Date | 2017-12-22 | 
| Last Update Date | 2024-09-24 |