| NPI | 1114487691 |
|---|---|
| Former Name | KELSEY MARIE LENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2022-00739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 250210) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-06-01 |