| NPI | 1386834539 |
|---|---|
| Former Name | KIMBERLY CHRISTINE CARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO150950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO150950) |
| 207R00000X Internal Medicine (Licence: AK 100873) | |
| 208000000X Pediatrics (Licence: AK 100873) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2016-12-21 |