| NPI | 1417418302 |
|---|---|
| Former Name | KIMBERLY NICOLE RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM DO20220028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM DO20220028) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-05-25 |