| NPI | 1649810052 |
|---|---|
| Former Name | REBECCA A KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: NJ 49FW00037600) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: NJ 49FW00037600) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |