NPI | 1316271463 |
---|---|
Former Name | JESSICA D. BENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.11063) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.306464) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2018-10-23 |