| NPI | 1619730686 |
|---|---|
| Former Name | KELLEY MILLER KNOWLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: IL 041256604) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IL 041256604) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |