| NPI | 1346894755 |
|---|---|
| Former Name | KIMBERLY MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 104406946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013024201) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-08-04 |