| NPI | 1629129051 |
|---|---|
| Former Name | KELLY MARIE RENZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 658922) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-09-04 |