| NPI | 1952640369 |
|---|---|
| Former Name | KIMBERLY ELAINE PLATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A122442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R2042150) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 5640-33) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-07-21 |