| NPI | 1023561552 |
|---|---|
| Former Name | JACQUELYN B WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2016025484) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-12-28 |