| NPI | 1609129667 |
|---|---|
| Former Name | KELLY MARIE BYRNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 221370) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2018-07-06 |