| NPI | 1366473613 |
|---|---|
| Former Name | KAREN LEE KIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001580) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 785) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-10-12 |