| NPI | 1548509912 |
|---|---|
| Professional Name | KEISHA TAMARA LOVENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704264763) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |