NPI | 1700197076 |
---|---|
Former Name | MCKAILA KLUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO166602) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI DO750) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2021-02-18 |