| NPI | 1962624742 |
|---|---|
| Former Name | AMBER JORDAN KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2013-01005) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 27648) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-07-21 |