NPI | 1316213382 |
---|---|
Former Name | KELLY FRANCES CHAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: CA A120241) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A120241) |
208000000X Pediatrics (Licence: CA A120241) | |
Enumeration Date | 2012-03-23 |
Last Update Date | 2018-03-06 |