NPI | 1932169539 |
---|---|
Former Name | KIMBERLEY BROOKE CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6547) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116015548) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2015-10-31 |