| NPI | 1780981837 |
|---|---|
| Former Name | KIMBERLY ANN WESTENRIEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 105694) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-10-16 |