| NPI | 1619714516 |
|---|---|
| Former Name | KIMBERLY STAUDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030028) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA SP030028) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-10-31 |