| NPI | 1962123265 |
|---|---|
| Former Name | KELLY LIANNE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 27403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95021706) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5016854) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-06-05 |