NPI | 1326585720 |
---|---|
Former Name | KELLY NICOLE MERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9451513) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9451513) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2020-12-18 |