| NPI | 1215580709 |
|---|---|
| Former Name | KIMBERLY CARMONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 739587) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |