| NPI | 1053565358 |
|---|---|
| Former Name | KENSHASA ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC R70624) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3807A) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2025-08-18 |