| NPI | 1770745762 |
|---|---|
| Former Name | KELLY ANNE SHENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 104513) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2010-04-15 |