NPI | 1003908120 |
---|---|
Other Name | KIMO SHOTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR OR 093006979N7) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC156829) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-09-21 |