| NPI | 1033251400 |
|---|---|
| Former Name | KELLY ELIZABETH RYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.202250) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: LA MD.202250) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-09-30 |