NPI | 1558757237 |
---|---|
Former Name | KIMBERLY S KOWALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NE 111742) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IA F139115) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2019-08-14 |