| NPI | 1003493586 |
|---|---|
| Former Name | MIKALAH ANDREE GRIBBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 58333) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R6107) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-07-03 |