NPI | 1033421383 |
---|---|
Former Name | KIMBERLEY GERARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 1033421383) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 1033421383) |
208600000X Surgery (Licence: AZ R72238) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2023-10-22 |