| NPI | 1164496683 | 
|---|---|
| Former Name | TRECIA JENSEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D181494)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI R030706)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD 0579)  | |
| Enumeration Date | 2006-02-13 | 
| Last Update Date | 2025-06-25 |