| NPI | 1487025680 |
|---|---|
| Former Name | KIM M AMUNDSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP025786) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129341) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2026-07-15 |