| NPI | 1891091062 |
|---|---|
| Former Name | KELLI MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11248-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.287692-COA1) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2022-01-25 |