| NPI | 1669955472 |
|---|---|
| Former Name | KIMBERLY M BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202108143NP-PP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 200440640RN) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2023-05-18 |