| NPI | 1437436953 |
|---|---|
| Former Name | KIMBERLY ANNE BERK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014971) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011603) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2019-10-25 |