| NPI | 1568854115 |
|---|---|
| Former Name | KIM CONWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08208) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP08208) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-10-23 |