| NPI | 1992252860 |
|---|---|
| Former Name | KELLY ANN ELEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA OT 5394) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 5394) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |