| NPI | 1295254514 |
|---|---|
| Former Name | KIMBERLY RENAE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704223870) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |