| NPI | 1245527993 |
|---|---|
| Former Name | KIMBERLY MARIE GAMBINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 83287) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-08-14 |