| NPI | 1174587323 |
|---|---|
| Former Name | CHRISTINE MASAKO KIMURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK PAD1110) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-264) |
| 363AM0700X Physician Assistant, Medical (Licence: UT 5194715-1206) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-04-18 |