| NPI | 1326204892 |
|---|---|
| Former Name | KIMBERLY LYNETTE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1163) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A111666) |
| 208000000X Pediatrics (Licence: WI 56993-20) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-12-09 |