| NPI | 1639134406 |
|---|---|
| Former Name | KENDALL JO ELLINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R181696) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 548975) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-02-06 |