| NPI | 1669736526 |
|---|---|
| Former Name | KIMBER WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055529) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CO PA.0007006) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-06-20 |