| NPI | 1134166234 |
|---|---|
| Former Name | KIMBERLEE I MILBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 0574) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001043) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-01-24 |