NPI | 1467717751 |
---|---|
Former Name | KYMLYN JANE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-07-12 |
Last Update Date | 2020-08-10 |