| NPI | 1225028806 |
|---|---|
| Former Name | KIMBERLY S ROHALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC MD40634) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME86723) |
| 208000000X Pediatrics (Licence: OH 35094744) | |
| 208000000X Pediatrics (Licence: VA 0101241911) | |
| 208000000X Pediatrics (Licence: TN 43204) | |
| 208000000X Pediatrics (Licence: SC MD40634) | |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: VA 0101241911) | |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: SC MD40634) | |
| 208D00000X General Practice (Licence: VA 0101241911) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-07-15 |