NPI | 1144998055 |
---|---|
Former Name | REBECCA KELTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 321669) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN173179) |
Enumeration Date | 2021-09-03 |
Last Update Date | 2025-03-26 |