| NPI | 1740544345 |
|---|---|
| Former Name | KIMBERLY BEAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2015-01112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-061734) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2015-11-18 |