| NPI | 1053399865 |
|---|---|
| Former Name | KIMBERLY ANN HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0002865) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2021-08-06 |