| NPI | 1861112302 |
|---|---|
| Former Name | KIMBERLY IVONNE CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA253075) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-09-30 |