| NPI | 1841594025 |
|---|---|
| Former Name | ALICE CAMILLE KETCHEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 71003805A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28196305A) |
| 363L00000X Nurse Practitioner (Licence: IN 71003805A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003805A) | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2023-10-18 |