| NPI | 1124550736 |
|---|---|
| Former Name | KALLAN SIAN ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 94701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-21180) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2023-03-27 |