| NPI | 1750783346 |
|---|---|
| Former Name | KIMBERLY K BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014037312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 124307) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2014037312) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-12-22 |