| NPI | 1821379397 |
|---|---|
| Professional Name | DONNA MARIE KELLER OSSIPOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP033661) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |