NPI | 1366413536 |
---|---|
Former Name | KIMBERLY MARIE MORAVEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402216) |
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 | 2025-06-02 |