| NPI | 1235129651 |
|---|---|
| Former Name | KIM MARIE BINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9101607) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03049) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-07-20 |