| NPI | 1851607626 |
|---|---|
| Former Name | KIMBERLY J MARQUARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA001234) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001234) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2011-08-31 |