NPI | 1598101503 |
---|---|
Former Name | KIMBERLY DOTHA CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AK 141651) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 141651) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2019-08-20 |