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 |