| NPI | 1104966423 |
|---|---|
| Former Name | KIM MARIE PLUMITALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME117844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117844) |
| 225100000X Physical Therapist (Licence: FL PT19643) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-11-02 |