NPI | 1780870113 |
---|---|
Former Name | KELLIE L. WINSLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 09618) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH LE-00027692) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2020-06-10 |