| NPI | 1851646574 |
|---|---|
| Former Name | KELLY MARIE AMBROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH COA13685) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.318921) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2017-11-14 |