NPI | 1205157807 |
---|---|
Former Name | MELISSA J KIEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013009190) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2000163049) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2021-03-12 |