| NPI | 1285746248 |
|---|---|
| Former Name | KIMBERLY LYNN MCILWAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME86595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME86595) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-01-17 |