| NPI | 1770150492 |
|---|---|
| Other Name | PATRICIA ANNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015853) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015853) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-04-18 |