| NPI | 1083857486 |
|---|---|
| Former Name | GRETCHEN JOY KENNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209007661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.336920) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-07-14 |