| NPI | 1154716017 |
|---|---|
| Former Name | MEGAN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68417) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2019-00573) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-01-11 |