NPI | 1538539614 |
---|---|
Former Name | KIMBERLY HOSKING/MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209013529) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015021523) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2018-09-12 |