| NPI | 1295928265 |
|---|---|
| Former Name | KIMBERLY JANE MANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704234769) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |