| NPI | 1467874776 |
|---|---|
| Former Name | KELLIE LYNN CAMIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA133026) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2020-11-03 |