| NPI | 1649514316 |
|---|---|
| Former Name | KELLY KATHLEEN FORSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001068) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209009824) |
| 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: IL 041369474) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2024-08-05 |