| NPI | 1528618899 |
|---|---|
| Former Name | GRACE CAROLINE KIMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN239935) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-01-10 |