NPI | 1033212253 |
---|---|
Former Name | ELLEN FERRELL KEOWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1583) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-047633) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2016-11-29 |