NPI | 1053011247 |
---|---|
Former Name | KELLEY MCKEEN COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R203754) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R203754) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-06-29 |