NPI | 1558746529 |
---|---|
Former Name | KIMBERLY M DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173119) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9332552) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2016-08-24 |