| NPI | 1053560433 |
|---|---|
| Other Name | DEANA SQUIRE-KIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 34.014443) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT011562) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-02-22 |