| NPI | 1184868812 |
|---|---|
| Former Name | KIMBERLY MARIE GANSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD444386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194745) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194745) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2015-10-15 |