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 |