| NPI | 1093583387 |
|---|---|
| Former Name | KIMBERLY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60764670) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60764670) |
| 163WH1000X Registered Nurse, Hospice (Licence: WA RN60764670) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |