| NPI | 1003868985 |
|---|---|
| Former Name | SHANNON KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 12008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 123066) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-06-09 |