| NPI | 1346643590 |
|---|---|
| Former Name | KIMBERLY ANN MAIERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006106) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018116) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-12-09 |