| NPI | 1639141641 |
|---|---|
| Former Name | JENNIFER L KELLEHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A083537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 083537) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-02-10 |