| NPI | 1598754590 |
|---|---|
| Former Name | KELLY MAHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.022221) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L089241) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704251383) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2019-11-05 |