NPI | 1982916359 |
---|---|
Former Name | KIMBERLY PATRICIA CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35121890) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01076050A) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2016-07-14 |