NPI | 1588083117 |
---|---|
Former Name | KIMBERLY ANNE TABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9295302) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9295302) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2024-10-11 |