| NPI | 1306017587 |
|---|---|
| Former Name | KELLY SUE TALBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001167788) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-18 |