| NPI | 1053854364 |
|---|---|
| Former Name | JESSICA WOOTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN219008) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-159002) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-03-10 |