| NPI | 1679746473 |
|---|---|
| Former Name | JENNIFER SUSAN KUSHION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088331) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2015-03-05 |