| NPI | 1689988529 |
|---|---|
| Former Name | JENNIFER ANN KEUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992541-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992541-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2492) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2024-01-31 |