| NPI | 1245244680 |
|---|---|
| Former Name | KIMBERLY TIJUNELIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041238039) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-11-15 |