| NPI | 1811297401 |
|---|---|
| Professional Name | KC ELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60196761) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN000144555) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60196761) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2024-01-17 |