| NPI | 1174907786 |
|---|---|
| Former Name | JENNIFER LYNN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61010345) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 828396) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201805689CRNA) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2024-03-18 |