| NPI | 1023000676 |
|---|---|
| Former Name | KELLIE L OR LELEUX FAULK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 9601607) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-12-08 |