| NPI | 1831321876 |
|---|---|
| Former Name | KIMBERLY JOAN MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS016978) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT012980) |
| 207V00000X Obstetrics & Gynecology (Licence: DE C2-0010942) | |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2014-07-16 |