NPI | 1508305723 |
---|---|
Former Name | KELLEY NICOLE HOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD212741) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG193803) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2023-02-10 |