NPI | 1871955963 |
---|---|
Former Name | KELLY ELIZABETH ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-15177) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-06-01 |