| NPI | 1295021079 |
|---|---|
| Former Name | KATRINA LYNN GUCKENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 735-00) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101252351) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-04-11 |