| NPI | 1992903983 |
|---|---|
| Professional Name | KIMBERLY ANN DEFATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381894-1) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |