NPI | 1437516481 |
---|---|
Former Name | KIMBERLY GRACE PRESSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008314) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008314) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2017-01-09 |