| NPI | 1477955722 |
|---|---|
| Former Name | KIMBERLEY CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059529-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP141047) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-04-26 |