| NPI | 1679632673 |
|---|---|
| Former Name | KIMBERLY ANN POCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200047RX) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200047RX) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-07-08 |