| NPI | 1629303904 |
|---|---|
| Former Name | KIMBERLY IRVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004082A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.003167) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2023-05-24 |