| NPI | 1336110634 |
|---|---|
| Former Name | KELLY L ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 091298NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 091298) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-09-23 |