NPI | 1134488679 |
---|---|
Former Name | KELSEY CATHERINE RINGEL WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL MD.33425) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-03 |
Last Update Date | 2020-07-24 |