| 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 |