| NPI | 1215791686 |
|---|---|
| Former Name | KIMBERLY ANN DIZONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: NE 114328) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |