| NPI | 1265902340 |
|---|---|
| Former Name | JENNA LYN ENGELMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023036825) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43558043) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-11-02 |