NPI | 1891922977 |
---|---|
Former Name | KIMBERLY WASIERSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006056) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006056) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2024-08-21 |