NPI | 1982068953 |
---|---|
Former Name | KELSEY DONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.139029) |
Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.139029) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-05-03 |