| NPI | 1679566699 |
|---|---|
| Former Name | KIMBERLY BACA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024192973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ NR73787) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-11-06 |