NPI | 1053047985 |
---|---|
Former Name | AMBER A KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031633) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015465A) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2024-07-25 |