| NPI | 1801415088 |
|---|---|
| Former Name | KELLIE LYN MILAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 95882) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-08-31 |