| NPI | 1477794709 | 
|---|---|
| Former Name | KIMBERLY E HAHN RUDOLPH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175359)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 69024)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175359)  | |
| Enumeration Date | 2009-03-17 | 
| Last Update Date | 2024-12-17 |