| NPI | 1164655528 |
|---|---|
| Former Name | KELSI NUSSBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 15493) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 324620) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2013-12-27 |