| NPI | 1487115614 |
|---|---|
| Former Name | KELSEY LEIGH LOFGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 250178) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 25413) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-03-31 |