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 |