NPI | 1275986911 |
---|---|
Former Name | KELLY STANCIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 113401) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247428) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-11-22 |