| NPI | 1740718899 |
|---|---|
| Former Name | AMY KIM BROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101271634) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 86610-20) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2026-04-16 |