| NPI | 1053324327 |
|---|---|
| Former Name | JACLYNN M KENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209002164) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041233787) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-05-23 |