| NPI | 1205211885 |
|---|---|
| Former Name | JESSICA ELIZABETH DOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 724623) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2022-10-24 |