| NPI | 1417949041 |
|---|---|
| Other Name | KIMBERLY ANISE GALLEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 278405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP111182) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-06-12 |