NPI | 1881198786 |
---|---|
Former Name | KELSEY E BREDIMUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001126) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001126) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2019-01-15 |