| NPI | 1912172917 |
|---|---|
| Former Name | KIMBERLY ELIZABETH HANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 279619) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 243623) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-11-12 |