NPI | 1932872868 |
---|---|
Former Name | KIMBERLY RENEE MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177828) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 967249) |
Enumeration Date | 2021-07-27 |
Last Update Date | 2024-10-30 |