NPI | 1790361434 |
---|---|
Former Name | KIMBERLY ANNE MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-162037) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162037) |
Enumeration Date | 2021-03-23 |
Last Update Date | 2022-10-26 |