| NPI | 1023044450 |
|---|---|
| Former Name | KIMBERLY AMATRUDA DUDRAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 006096) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 6096) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-07-30 |