| NPI | 1144752635 |
|---|---|
| Former Name | JESSICA GOODING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0993171-CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO RN.0203734) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-12-21 |