| NPI | 1275191868 |
|---|---|
| Former Name | KELSEY ANN MCCARTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 77310-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125074141) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-05-17 |