| NPI | 1912143751 |
|---|---|
| Former Name | KIMBERLY KAY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 1312920) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2018-01-12 |