| NPI | 1053657270 |
|---|---|
| Other Name | KIMBERLY ANN BLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010012) |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2022-03-11 |