| NPI | 1003042573 |
|---|---|
| Former Name | KIMBERLY ANNE LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP118333) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 707989) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2015-07-29 |