| NPI | 1134346323 |
|---|---|
| Former Name | KIMBERLY RENEE BRANCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN MD0000044823) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-06-29 |