| NPI | 1629630165 |
|---|---|
| Former Name | KIMBERLY NE'SHA HANKSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN10009394) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN97069) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2024-08-21 |