| NPI | 1215259056 |
|---|---|
| Former Name | KIMBERLY K SIMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 117609) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2018-10-11 |