| NPI | 1871863589 |
|---|---|
| Former Name | KIMBERLY ANN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9265591) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-125738) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2026-06-09 |