| 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 |