NPI | 1114998606 |
---|---|
Former Name | KELLY SHERWOOD ENNIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A83650) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116572) |
207R00000X Internal Medicine (Licence: CA A83650) | |
208M00000X Hospitalist (Licence: FL ME116572) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-05-03 |