| NPI | 1336553247 |
|---|---|
| Former Name | KIMBERLY LARABEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R189565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R189565) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-10-29 |