| NPI | 1669787131 |
|---|---|
| Former Name | KIMBERLY ANN WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX S0590) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101250207) |
| 207N00000X Dermatology (Licence: FL ME135731) | |
| 208D00000X General Practice (Licence: VA 0101250207) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2023-12-28 |