NPI | 1942476684 |
---|---|
Former Name | KIMBERLY A BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA2375) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2375) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2014-08-15 |