| NPI | 1568820868 |
|---|---|
| Former Name | KIMBERLY KOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001320) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.012797) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-06-17 |