NPI | 1306290291 |
---|---|
Former Name | KIMBERLY HURD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2022016367) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: KS 94-09138) | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2022-09-06 |