| NPI | 1548624158 |
|---|---|
| Former Name | KELLY GARTLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2022011330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62523) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0446122) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2022-07-15 |