| NPI | 1003162579 |
|---|---|
| Former Name | KIMBERLY LEILANI PORTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 714375) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-12-21 |