| NPI | 1528583382 |
|---|---|
| Former Name | KIMBERLY A MULLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61300) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2024-11-04 |