NPI | 1356530851 |
---|---|
Former Name | GALINA ANGELA KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0551) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN118303) |
Enumeration Date | 2007-10-20 |
Last Update Date | 2018-03-17 |