NPI | 1164702650 |
---|---|
Other Name | KELSEY DO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47860) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024811) |
Enumeration Date | 2011-08-28 |
Last Update Date | 2011-08-28 |