NPI | 1134545197 |
---|---|
Former Name | KELSEY ANNE KOSSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN18062) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000018062) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2014-05-06 |