| NPI | 1689142283 |
|---|---|
| Former Name | KIMBERLY ANN MARUSIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019532) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA Sp019532) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-10-04 |