| NPI | 1841782257 |
|---|---|
| Former Name | KIMBERLY GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60861638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60861638) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-03-22 |