NPI | 1134505068 |
---|---|
Former Name | SARAH ELIZABETH KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172832) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 001248637) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2023-11-21 |