| NPI | 1104460328 |
|---|---|
| Former Name | KIMBERLY L MABRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP143726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143726) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2025-11-17 |