| NPI | 1932209558 |
|---|---|
| Former Name | KIMBERLY ANNE JUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OK 744) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK PA744) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2021-10-06 |