| NPI | 1013912153 |
|---|---|
| Other Name | ALIDA ANNE KIMMELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333173-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 482368-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302146-1) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-12-01 |