NPI | 1992975288 |
---|---|
Other Name | ANA B KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01907) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM R42841) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2016-09-08 |