NPI | 1295048882 |
---|---|
Former Name | KIMBERLY AIME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00667) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4565) |
Enumeration Date | 2010-07-23 |
Last Update Date | 2021-09-13 |