NPI | 1083615876 |
---|---|
Former Name | KIMBERLY DIANE CHRISTOPHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 37117) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-275195-L) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2024-03-12 |