| NPI | 1891207619 |
|---|---|
| Former Name | KELLEY ELIZABETH O'HAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007714A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196458A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2021-03-17 |