| NPI | 1972630986 |
|---|---|
| Former Name | RUTH ANNE KEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN062108L) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA 821638) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |