NPI | 1902512874 |
---|---|
Former Name | KELLEY PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024192503) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001250651) |
Enumeration Date | 2023-01-25 |
Last Update Date | 2025-02-17 |