NPI | 1881879179 |
---|---|
Former Name | AMY L. KEEVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11699-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 13086) |
363L00000X Nurse Practitioner (Licence: NC 5004150) | |
Enumeration Date | 2008-01-04 |
Last Update Date | 2015-04-27 |