| NPI | 1245202092 |
|---|---|
| Former Name | KIMBERLY JOY GRONSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC tl29312) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 79776) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-10-21 |