| NPI | 1932433372 |
|---|---|
| Former Name | KIMBERLY RICHELLE SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY RN.343691) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11001467) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-04-04 |