| NPI | 1962649889 | 
|---|---|
| Other Name | KIMBERLY A. SHOE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10032322/LJ0000252) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE APN0001508) | 
| 363L00000X Nurse Practitioner (Licence: DE L10032322) | |
| 363L00000X Nurse Practitioner (Licence: PA RN545601) | |
| Enumeration Date | 2009-01-14 | 
| Last Update Date | 2012-02-09 |