| NPI | 1750568465 |
|---|---|
| Former Name | BARBARA CATHERINE KELLOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3363-33) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: WI 136958-030) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-02-29 |