NPI | 1477823615 |
---|---|
Former Name | KELLEY SUZANNE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN562939) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2023-10-26 |