| NPI | 1356847198 |
|---|---|
| Former Name | KIMBERLY HAMMERNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP61164059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.030193) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-05-27 |