| 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 |