NPI | 1316444672 |
---|---|
Former Name | JENNIFER ANN LAWLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 217304) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018026930) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2021-11-04 |