| NPI | 1134365950 |
|---|---|
| Former Name | KIMBERLY HALLGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007393) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-04-11 |