| NPI | 1659480663 |
|---|---|
| Former Name | STEPHANIE JEAN KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55418) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 1380775032) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-03 |