NPI | 1366938482 |
---|---|
Former Name | KIMBERLY LYNN RINARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 786) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2021-04-22 |