NPI | 1962821116 |
---|---|
Other Name | JODI L KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IL 237000.140) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |