| NPI | 1093928285 |
|---|---|
| Former Name | KIMBERLY THERESE PATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 336449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54523-20) |
| 208000000X Pediatrics (Licence: IN 01073111A) | |
| 208000000X Pediatrics (Licence: IL 036124668) | |
| 208M00000X Hospitalist (Licence: IL 036124668) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-02-16 |