| NPI | 1033264007 |
|---|---|
| Former Name | KIMBERLEE A ELLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003479G) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN295794L) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-10-08 |