| NPI | 1720256266 |
|---|---|
| Former Name | KELLEY VIRGINIA FARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OK 87451) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: OK 87451) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-12-30 |