NPI | 1962907980 |
---|---|
Former Name | KALEE KIRMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-44931) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-30 |
Last Update Date | 2021-07-30 |