| NPI | 1366413536 |
|---|---|
| Former Name | KIMBERLY MARIE MORAVEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: NY F402216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F402216) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001125389) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 426056-1) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-08-19 |