| NPI | 1427212976 |
|---|---|
| Former Name | REBECCA ELAINE KIMBELL-FARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013009202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 0063706) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-10-04 |