| NPI | 1912328592 |
|---|---|
| Former Name | KATHERINE DANIELLE KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 18248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 18248) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2020-10-22 |