| NPI | 1205156387 |
|---|---|
| Former Name | KIMBERLY ANN NEWSOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6919) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10038256) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2023-01-18 |