| NPI | 1518381896 |
|---|---|
| Former Name | KELSEY JO BEATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-011354) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-10-25 |