| NPI | 1770986986 |
|---|---|
| Former Name | KIMBERLY ANN SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0995335-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 119752) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2021-06-23 |