| 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 |