| NPI | 1851836894 |
|---|---|
| Former Name | KIMBERLY ANN DE JESUS GERALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005055) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2022-06-13 |