NPI | 1801884002 |
---|---|
Former Name | KIMBERLY JOYCE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-4661) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 124352) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2015-01-22 |