| NPI | 1952875734 |
|---|---|
| Former Name | KIMBERLY L O'DELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008676A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28199727A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28199727A) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-08-16 |