| NPI | 1639794084 |
|---|---|
| Former Name | KIMBERLY RAYE BARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.004826) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277.004826) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-12-04 |