| NPI | 1306468822 |
|---|---|
| Former Name | KELLY PAULS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.076125) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |