Individual
MRS. MARY CATHERINE LIM
Active
Individual
MRS. MARY CATHERINE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-97841-061
KS
367500000X
Certified Registered Nurse Anesthetist
43-556884-061
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200627440A
—
KS
01
—
P00765512
RR MEDICARE
KS
Enumeration date
07/29/2009
Last updated
03/07/2023
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