| NPI | 1326645029 |
|---|---|
| Former Name | NIKKI LEE KIRBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10539-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 133544) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-12-28 |