| NPI | 1639537467 | 
|---|---|
| Former Name | KELLEY MURRAY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 086356-23) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2298942) | 
| 163W00000X Registered Nurse (Licence: MA RN2298942) | |
| Enumeration Date | 2016-02-08 | 
| Last Update Date | 2023-02-01 |