NPI | 1205845625 |
---|---|
Former Name | JENNIFER L HERTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-896A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007244) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-02-25 |