NPI | 1063806214 |
---|---|
Former Name | KELLY VROEGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN176261) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 261429) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2024-03-17 |