| NPI | 1922415181 |
|---|---|
| Former Name | KELLY B ANDERSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP137416) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60460657) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2018-07-30 |