NPI | 1811035231 |
---|---|
Former Name | KELLEY L MUNROE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2002022036) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 6003A) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2014-03-05 |