| NPI | 1194755363 |
|---|---|
| Former Name | KIMBERLY S DICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A7995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 4055) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-01-16 |