| NPI | 1982943452 |
|---|---|
| Former Name | KIMBERLY NICOLE CROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN245855) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R196074) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2015-04-03 |