| NPI | 1336476860 |
|---|---|
| Former Name | KIMBERLY SUE RICKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.285812) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |