| NPI | 1477794709 |
|---|---|
| Former Name | KIMBERLY E HAHN RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024175359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 69024) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2020-01-23 |