| NPI | 1679549257 |
|---|---|
| Former Name | KIMBERLY ANN ROSADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110498) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-10-14 |