| NPI | 1891575015 |
|---|---|
| Former Name | LAURA BETH KENNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 148428) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-17 |