NPI | 1053549873 |
---|---|
Former Name | KIMBERLY L BLAESING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11912) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041336972) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2023-03-15 |