NPI | 1740549831 |
---|---|
Former Name | KELLY ELIZABETH WINANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4300) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 719042) |
163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 719042) | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2023-08-04 |