| NPI | 1003387051 |
|---|---|
| Former Name | JESSICA ANNE MIKELAIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 404424) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-10-29 |