NPI | 1659324341 |
---|---|
Former Name | DAUREEN L KELLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127584) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 11951) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2022-07-21 |