| NPI | 1952544017 |
|---|---|
| Former Name | KELLI M WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 131425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209-003174) |
| 163W00000X Registered Nurse (Licence: MO 131425) | |
| 163W00000X Registered Nurse (Licence: FL 2533252) | |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2019-07-01 |