| NPI | 1063669497 |
|---|---|
| Other Name | KIMBERLY A EARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209007155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007155) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-05-18 |