NPI | 1184942880 |
---|---|
Former Name | KIMBERLY MICHELE BROTHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9269307) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2018-03-14 |