| NPI | 1144968082 |
|---|---|
| Former Name | ELLYCE CAITRIN RAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA SP025752) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA SP025752) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |