NPI | 1346264652 |
---|---|
Former Name | SEV KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110706) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 110706) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-10-22 |