| NPI | 1871738583 |
|---|---|
| Former Name | KIMBERLAND SHARESH THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073217A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036123265) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2023-02-15 |