| NPI | 1720374853 |
|---|---|
| Former Name | KIMBERLY ANN PLLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 123502) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A123502) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-09-26 |