NPI | 1275381626 |
---|---|
Former Name | KIMBERLY DAWN TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61498604) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 4463) |
Enumeration Date | 2024-05-10 |
Last Update Date | 2025-09-11 |