| NPI | 1316237084 |
|---|---|
| Former Name | TARA L KELLENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000760) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2014-05-15 |