NPI | 1891797304 |
---|---|
Former Name | MARNI G KECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134988) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 101469) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2022-10-20 |