| NPI | 1073526455 |
|---|---|
| Former Name | MARY CATHERINE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 081047307CRNA) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-07-21 |