| NPI | 1659575132 |
|---|---|
| Former Name | KATHLEEN ELIZABETH PAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 37069) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-07-11 |