| NPI | 1104216241 |
|---|---|
| Former Name | KERI KELLY GREENFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9267805) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9267805) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-02-14 |