| NPI | 1144603648 |
|---|---|
| Former Name | KIMBERLY GILLESPIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 19579) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 19579) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2016-02-10 |