| NPI | 1801308556 |
|---|---|
| Former Name | KELLI NOEL KOVACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135682) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX AP135682) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-01-23 |