NPI | 1376806588 |
---|---|
Former Name | KELSEY LAINE HARPSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS FA5212911) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407993) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2022-08-03 |