| NPI | 1629668462 |
|---|---|
| Former Name | KELLY JOHANNA HUNEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7905) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-01-17 |