NPI | 1689024473 |
---|---|
Former Name | KIMBERLY CELESTE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 20236) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20236) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2024-01-16 |