| NPI | 1750825022 |
|---|---|
| Former Name | KELLY BRENNA SEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61103096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.433856) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2022-07-23 |