| NPI | 1669962403 |
|---|---|
| Former Name | KELSEY RAE GOODBARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 67950) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 8205) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-10-22 |