| NPI | 1407438203 |
|---|---|
| Former Name | KATHLEEN MARIE WILMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 33367) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-08-26 |