NPI | 1497704605 |
---|---|
Former Name | KIMBERLY BINGAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 69843) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC 27189) |
207T00000X Neurological Surgery (Licence: TX M5056) | |
207T00000X Neurological Surgery (Licence: VA 0101250777) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-12-16 |