| NPI | 1629500913 |
|---|---|
| Former Name | EMILY ELIZABETH KINGRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101268906) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-06-28 |