| NPI | 1033530308 |
|---|---|
| Former Name | KIMBERLY ANNE RAUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C05279) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057665) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2019-05-28 |