| NPI | 1598884157 |
|---|---|
| Former Name | KIMBERLY A. MINNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001981A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28149142A) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-10-19 |