NPI | 1598390676 |
---|---|
Former Name | KIRSTEN IRENE BOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD600003616) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-03-09 |
Last Update Date | 2025-06-19 |