NPI | 1619047271 |
---|---|
Former Name | NELLI KIM ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 44985) |
Additional Taxonomies | 208D00000X General Practice (Licence: CO 44985) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-10-21 |