| 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 |