NPI | 1265669139 |
---|---|
Former Name | KELLY ANN STORM OSHETSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0050247) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0050247) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2019-11-01 |