NPI | 1134759228 |
---|---|
Former Name | JENNIFER TENNEY KEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 6766256-3102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6766256-3102) |
Enumeration Date | 2020-01-17 |
Last Update Date | 2022-03-18 |