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 |