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 |