| NPI | 1730499492 |
|---|---|
| Former Name | KELLY J KOPERSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R131031-7) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2020-08-07 |