| NPI | 1063679884 |
|---|---|
| Former Name | ELIZABETH ANNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015032514) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-38380) |
| 208000000X Pediatrics (Licence: MO 2015132514) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-03-08 |