| NPI | 1932206901 |
|---|---|
| Former Name | SHARON JEAN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 088006542N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002512) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |