| NPI | 1942453188 |
|---|---|
| Former Name | KIMBERLY ANN MUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 14562) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR LL17621) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2009-12-29 |