| NPI | 1962740217 |
|---|---|
| Former Name | CHRISTIE KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 6295) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2018-06-29 |