NPI | 1174859235 |
---|---|
Former Name | KARIN KELLERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010525) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN604316) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2011-10-18 |