| NPI | 1598805186 |
|---|---|
| Former Name | KATHERINE MICHELLE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3234) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 77491) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-07-28 |