NPI | 1629592241 |
---|---|
Former Name | SARINA KIMBALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 059445-23) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 059445-23) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2025-02-26 |