| NPI | 1649564642 |
|---|---|
| Former Name | KIMBERLY LYNN EVANGELISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9262739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9262739) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2023-07-31 |