| NPI | 1154697563 |
|---|---|
| Former Name | ELLI KAY BONNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201400670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-00670) |
| 207R00000X Internal Medicine (Licence: TN 50928) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-05-23 |