| NPI | 1649574179 |
|---|---|
| Former Name | KELLY ANN BRUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R165065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r165065) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2020-03-03 |