NPI | 1285734574 |
---|---|
Former Name | KELLI ANN MCDANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1373529072) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2014-07-31 |