| NPI | 1023214566 |
|---|---|
| Former Name | KIMBERLY JOY HARDWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2026-0045) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-00955) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2026-05-26 |