| NPI | 1013235399 |
|---|---|
| Former Name | KIMBERLY ANN WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00289300) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9417498) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2024-06-25 |