NPI | 1396802575 |
---|---|
Former Name | KIMBERLY PAIGE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005126) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1086201) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2016-03-22 |