NPI | 1780872788 |
---|---|
Former Name | KIMBERLY ANN ZINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003958) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3711) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2018-06-18 |