| NPI | 1891140471 |
|---|---|
| Former Name | KELLEY MICHELLE NAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-03215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME138706) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-03-29 |