| NPI | 1700064904 |
|---|---|
| Former Name | KIMBERLY DAWN GREEN, YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024453) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN rn0000161066) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2024-03-18 |