| NPI | 1720104102 |
|---|---|
| Former Name | KELLY WRISTEN WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN150994) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA 150994) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-02-07 |