| NPI | 1609913896 |
|---|---|
| Former Name | KELLY ANN MOYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN169833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN169833) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-11 |