| NPI | 1033553045 |
|---|---|
| Former Name | JESSICA LEIGH DECOSTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1119402) |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2016-09-29 |