| NPI | 1457003303 |
|---|---|
| Former Name | KIMBERLY MARIE KOHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26122) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 242568) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-04-27 |