| NPI | 1801079488 |
|---|---|
| Former Name | DALTON J ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 25129) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2020-02-17 |