NPI | 1538640859 |
---|---|
Former Name | BRITTANY C KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-131576) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2021-10-13 |