| NPI | 1609837319 |
|---|---|
| Former Name | KIMBERLY DARLENE HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021050734) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-33125) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2022-03-21 |