| NPI | 1114765906 |
|---|---|
| Former Name | KIMBERLY RENEE YBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 929387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95320693) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |