| NPI | 1255308037 |
|---|---|
| Former Name | JENNIFER L TREACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D-092935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 092935) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 136390) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54993) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-25 |