| NPI | 1295117521 |
|---|---|
| Former Name | KATHRYN MICHELLE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 225399) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |