| NPI | 1902922875 |
|---|---|
| Former Name | RACHEL CATHLEEN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 005098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-06468) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-09-04 |