| NPI | 1154665990 |
|---|---|
| Former Name | KELLIE WEBB-CASERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02720) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0001406-C-NP) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 87631) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 730340) | |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2022-12-13 |