| NPI | 1437320819 |
|---|---|
| Former Name | KIMBERLY DAWN CANFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 53-46179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-92014) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2021-04-15 |