NPI | 1528276417 |
---|---|
Former Name | KELLY JO DENIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 61139) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036105206) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP20022320) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2014-01-17 |