| NPI | 1922549146 |
|---|---|
| Former Name | COLLEEN MARIE MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0095016) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-10-11 |