NPI | 1558349431 |
---|---|
Former Name | KIMBERLY G. CUNNINGHAM GILBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9379) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: CO PA.000104) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2022-06-14 |