NPI | 1215328570 |
---|---|
Former Name | JESSICA RUTH WALKUP SHENKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 24172347) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC0001478) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2023-09-21 |