| NPI | 1538115209 |
|---|---|
| Former Name | JODIE L KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01045348) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: IN 01045348) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-09-24 |