| NPI | 1447743075 |
|---|---|
| Former Name | KILEY A. OBERHAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 73680) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-11-20 |