| NPI | 1851002612 |
|---|---|
| Former Name | KIMBERLY A ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 135614-030) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 99484) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-20 |