| NPI | 1336406446 |
|---|---|
| Former Name | CAITLIN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 64030) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 70128) |
| 207P00000X Emergency Medicine (Licence: GA 073014) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-10-03 |