| NPI | 1144737339 |
|---|---|
| Former Name | JENNIFER MARIE MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1461) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-05-13 |