| NPI | 1801107065 |
|---|---|
| Former Name | KELLY ELIZABETH TODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: VA 0101276609) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 34495) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2022-12-14 |