| NPI | 1952470106 |
|---|---|
| Former Name | KIMBERLY S ROLLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001322A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28152774A) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-10-11 |