| NPI | 1841543543 |
|---|---|
| Former Name | KIMBERLEY L JELINEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004188A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004188A) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2021-03-05 |