NPI | 1659355410 |
---|---|
Former Name | KELLY ANN MAURER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11634) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 11634) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2016-02-24 |