| NPI | 1568954626 |
|---|---|
| Former Name | KELSEY KATHLEEN YASAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25ME00064700) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00806600) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |