| 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 |