NPI | 1013953637 |
---|---|
Former Name | KIMBERLEY A TOLLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 05237) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 4699P) |
207Q00000X Family Medicine (Licence: OH NP05237) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2022-07-18 |