| NPI | 1881036135 |
|---|---|
| Former Name | KELLY MARIE CRONOMIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024171041) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-01-12 |