| NPI | 1679133185 |
|---|---|
| Former Name | ANNE KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 119748) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-09-30 |