| NPI | 1891208658 |
|---|---|
| Former Name | KIMBERLY NICOLE EBERHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-07-28 |