NPI | 1073551008 |
---|---|
Former Name | KIMBERLY D WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4603) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-007050) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-05-06 |