| NPI | 1407898661 |
|---|---|
| Former Name | KELLY SUZANNE COULSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 633974) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-02-19 |