| NPI | 1649920992 |
|---|---|
| Former Name | KIMBERLY DIANE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95226991) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 562982) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |