NPI | 1497228159 |
---|---|
Former Name | KELLIE KAPLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031079) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1031079) |
363L00000X Nurse Practitioner (Licence: VA 0024177002) | |
Enumeration Date | 2019-01-05 |
Last Update Date | 2019-01-15 |