NPI | 1487234027 |
---|---|
Former Name | COURTNEY A KILWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.016377) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-08 |
Last Update Date | 2024-04-05 |