| NPI | 1801076328 |
|---|---|
| Former Name | EMILY BROOKE KEETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704244707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704244707) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2016-02-29 |