NPI | 1982044699 |
---|---|
Former Name | KIMBERLY ANN PACCIONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0011636) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT204002) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2016-07-12 |