| NPI | 1033557848 |
|---|---|
| Former Name | KIMBERLY ELLEN LEAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 49311) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-07-08 |