NPI | 1578804670 |
---|---|
Former Name | SARA KELZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 2320) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1853845) |
363LF0000X Nurse Practitioner, Family (Licence: MN R1853845) | |
Enumeration Date | 2013-03-14 |
Last Update Date | 2019-06-19 |