NPI | 1083760698 |
---|---|
Former Name | KELLY MOULDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 46538) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46538) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-06-14 |