| NPI | 1366839086 |
|---|---|
| Former Name | KELLY MARIE BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 57735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294137) |
| 207R00000X Internal Medicine (Licence: TN 60695) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-10-02 |