NPI | 1457410540 |
---|---|
Other Name | LISA C KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009116) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009116) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-01-29 |