NPI | 1528486529 |
---|---|
Former Name | KELSEY ANN WATTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30709) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD181171) |
208M00000X Hospitalist (Licence: NE 30709) | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2021-02-18 |