NPI | 1922388818 |
---|---|
Former Name | KELLY JEAN PREASMYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007128) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1114347) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2012-11-01 |