| NPI | 1689917254 |
|---|---|
| Former Name | KIMBERLY MARIE HEMPHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD473706) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 76429) |
| 208600000X Surgery (Licence: AL 39836) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-10-13 |