| NPI | 1558914267 |
|---|---|
| Former Name | KEELEY RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R49203) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177902) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-12-27 |