NPI | 1689850794 |
---|---|
Former Name | KATHRYN ROSE SHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD154557) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050108) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2014-01-08 |