| NPI | 1538306543 |
|---|---|
| Former Name | KRISTINA MARIE KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9246244) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5017937) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2023-08-15 |