| NPI | 1871124974 |
|---|---|
| Former Name | KIMBERLEE SOMERVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704302897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704302897) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2021-10-15 |