| NPI | 1932218674 |
|---|---|
| Former Name | KRISTINE MARIE KELLERHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 089006990N7) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 089006990N7) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-03-05 |