NPI | 1932320397 |
---|---|
Former Name | KIMBERLY ANN KAZINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN 2335) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 02003178A) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-04-03 |