| NPI | 1780305391 |
|---|---|
| Former Name | KELLYN ELIZABETH KNABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010839) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |