| NPI | 1245573328 |
|---|---|
| Former Name | ABBY MARIE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-15108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8063) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2025-03-17 |