| NPI | 1164985701 |
|---|---|
| Former Name | ELIZABETH KEENAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018731) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018731) |
| 363L00000X Nurse Practitioner (Licence: PA SP018731) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-02-13 |