| NPI | 1508271123 |
|---|---|
| Former Name | AUDREY O'KEEFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA9110875) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056991) |
| 363A00000X Physician Assistant (Licence: FL PA9110875) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-08-11 |