| NPI | 1639518285 |
|---|---|
| Former Name | KIMBERLY ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60387500) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201360035CRNA) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-03-31 |