| NPI | 1104976885 |
|---|---|
| Former Name | KIMBERLY ANN TRUAX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 14856) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188086) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-07-08 |