NPI | 1437803913 |
---|---|
Former Name | KIMBERLY ROSNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80862-071) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022006752) |
163W00000X Registered Nurse (Licence: KS 13-135473-071) | |
Enumeration Date | 2022-02-04 |
Last Update Date | 2023-03-30 |