| NPI | 1396729133 |
|---|---|
| Former Name | ANGELA KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MO 153633) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: KS 14-147910-062) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-02-19 |