| NPI | 1821712944 |
|---|---|
| Former Name | CHRISTINE KELLI OTTO, NEIGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-198153) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-02-19 |