| NPI | 1154998565 |
|---|---|
| Former Name | KIMBERLY ANN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26193) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 220116) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2022-08-04 |