| 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 |