| NPI | 1104923770 |
|---|---|
| Former Name | KIMBERLY MICHELLE SCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 026504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 026504) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2017-01-04 |