| NPI | 1487856092 |
|---|---|
| Former Name | KIMBERLY MILLER PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5065) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 1561) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-03-23 |