NPI | 1053748699 |
---|---|
Former Name | JENNIFER LYNN VAZQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 93724) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553704) |
163W00000X Registered Nurse (Licence: NY 553704-1) | |
Enumeration Date | 2013-09-27 |
Last Update Date | 2023-07-12 |