NPI | 1740710227 |
---|---|
Former Name | ANDREA ELIZABETH KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.139279) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080755A) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019511A) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2020-07-09 |