| NPI | 1356946925 |
|---|---|
| Former Name | JANELL MARIE VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 101805) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-12-19 |