| NPI | 1942007497 |
|---|---|
| Former Name | KAYLA SUE KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704378748) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704378748) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-24 |