NPI | 1003298977 |
---|---|
Former Name | KELLY ALISA VAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9298353) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2022-11-15 |