NPI | 1164690517 |
---|---|
Former Name | KIMBERLY A CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2003020395) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46168) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2022-01-06 |