| NPI | 1376587584 |
|---|---|
| Former Name | KIMBERLY CHEMACKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 001019) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 1019) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-02-28 |