| NPI | 1023454683 |
|---|---|
| Former Name | KIMBERLY RAGENOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 11332954-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R73925) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-09-23 |