| NPI | 1649603200 |
|---|---|
| Professional Name | KELLY LETITIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN224647) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 355129) |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2024-09-11 |