| NPI | 1245522036 |
|---|---|
| Former Name | KELLY CATHERINE ALBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12528) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2015-08-13 |