| NPI | 1316700222 |
|---|---|
| Former Name | KIMBERLY MICHEALA CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037065) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-11-06 |