| NPI | 1164677647 |
|---|---|
| Former Name | KIMBERLY MICHELLE PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN0000013670) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 13670) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024168343) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-10-05 |