NPI | 1841426277 |
---|---|
Former Name | KELLY DOT LLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 57500) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8626) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2015-04-24 |