NPI | 1225070337 |
---|---|
Former Name | KIMBERLY RAE CARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7321) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000108974) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2022-06-30 |