NPI | 1932734746 |
---|---|
Former Name | KYMBERLI CONN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 308860) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP145423) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2024-07-11 |