| NPI | 1881418135 |
|---|---|
| Former Name | KELLI DIANNE ROYCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A182191) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |