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 | 2025-04-23 |