| NPI | 1497241947 |
|---|---|
| Former Name | KELSEY BROOKE LAVELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 188717) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-09-15 |