| NPI | 1205248218 |
|---|---|
| Former Name | KIMBERLY BALANGUE AGUPITAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000313) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 656241) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2015-06-14 |