| NPI | 1144728965 |
|---|---|
| Former Name | KELSIE O EDSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007827A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28241097A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3013158) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2021-01-25 |