| NPI | 1881825479 |
|---|---|
| Former Name | KIMBERLY OSMUNDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1380350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2444) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2022-03-30 |