| NPI | 1033586599 |
|---|---|
| Former Name | KIMBERLY R RYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005815A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 28156992A) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-11-02 |