| NPI | 1255566089 |
|---|---|
| Former Name | KELLI MCCAULEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35 099704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099704) |
| 207R00000X Internal Medicine (Licence: IN 11014945A) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2020-05-18 |