| NPI | 1437684362 |
|---|---|
| Former Name | KIMBERLY MICHELE FENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-02452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.139452) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-06-10 |