| NPI | 1720572225 |
|---|---|
| Former Name | KELLY MICHELLE HENION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024181581) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 121741) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-06-15 |