| NPI | 1609523901 |
|---|---|
| Former Name | KIMBERLY ANN PENNINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01255700) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |