| NPI | 1003835364 |
|---|---|
| Former Name | NELLIE LOVELACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-01532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL27075) |
| 207R00000X Internal Medicine (Licence: IL 036131600) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-07-28 |