NPI | 1326435991 |
---|---|
Former Name | STEPHANIE KAELIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000411) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404134-01) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 271605) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2360527) | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2022-09-20 |