NPI | 1043605488 |
---|---|
Former Name | ANNE A KIMBALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.147863) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 007896) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2023-06-28 |