| NPI | 1407327687 |
|---|---|
| Former Name | KIMBERLY MAE RUIZ CARREON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308369-1) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-11-24 |