| NPI | 1053477711 |
|---|---|
| Former Name | KIMBERLY LEMASTER SNOW |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R743305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R743305) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-11-04 |