NPI | 1518279827 |
---|---|
Former Name | KELITA L SINCLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 269938) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301501395) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2020-06-15 |