| NPI | 1669686481 |
|---|---|
| Former Name | KELSEA MEGHAN LIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036123142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088295) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-04-21 |