| NPI | 1306380555 |
|---|---|
| Former Name | KIMBERLY M HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015193) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209015193) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2026-08-06 |