NPI | 1487824215 |
---|---|
Former Name | KENDRA GRACE BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60143675) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99309) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2012-05-30 |