NPI | 1487305488 |
---|---|
Other Name | KIMI WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007194) |
Enumeration Date | 2022-01-12 |
Last Update Date | 2022-04-22 |