NPI | 1407138209 |
---|---|
Former Name | KIMBERLI MONIQUE PINCHEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704244872) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN327865) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2024-08-09 |