NPI | 1952307381 |
---|---|
Other Name | KADARI KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 12688) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 12688) |
363LF0000X Nurse Practitioner, Family (Licence: CA 12688) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2016-08-12 |