| NPI | 1831723360 |
|---|---|
| Former Name | MELISSA ANNE KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995395-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1630481) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2022-06-08 |