| NPI | 1972934180 |
|---|---|
| Former Name | TANYA FLORENCE KELLOGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 185512-8) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 221949) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2015-04-29 |