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 |