NPI | 1902062516 |
---|---|
Former Name | KENDRA L COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.126857) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125052320) |
Enumeration Date | 2008-08-03 |
Last Update Date | 2016-09-02 |