NPI | 1962613521 |
---|---|
Other Name | KELLY ANN TRAEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 53042) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-05-25 |
Last Update Date | 2021-12-31 |