| NPI | 1255804613 |
|---|---|
| Former Name | KIMBERLY SOMERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008722A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019967) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-01-12 |