NPI | 1962850099 |
---|---|
Other Name | KELLI MICHELLE PAICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD485368) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109271) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2024-08-28 |