| NPI | 1225356967 |
|---|---|
| Former Name | DINA ANNE KACICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO167786) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2016-04-01 |