| NPI | 1487066254 |
|---|---|
| Former Name | KIMBERLY CHRISTINE MASSIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN20323) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171703) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-10-27 |