| NPI | 1558357632 |
|---|---|
| Former Name | KELLI YVETTE OSWALT/SAMUELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 518078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 518078) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 518078) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-05-04 |