NPI | 1275814758 |
---|---|
Former Name | KIMBERLY LEWIS WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005328) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2024-01-25 |