| NPI | 1164937942 |
|---|---|
| Former Name | KELLY LYNN FIRDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11016965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 96328) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN627933) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 96328) | |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2022-10-20 |