NPI | 1437120300 |
---|---|
Former Name | KIMBERLY ANN ANANIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 2652) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 2652) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2024-11-19 |