| NPI | 1922649235 |
|---|---|
| Former Name | KIMBERLY ANGELA MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025188) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-03-21 |