NPI | 1497704605 |
---|---|
Former Name | KIMBERLY BINGAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101250777) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX M5056) |
207T00000X Neurological Surgery (Licence: SC 27189) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2023-06-08 |