| NPI | 1750595179 |
|---|---|
| Former Name | KIMBERLY A DEHAAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NE 24713) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 24713) |
| 207X00000X Orthopaedic Surgery (Licence: NE NETL4651) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-12-13 |