| NPI | 1376932509 |
|---|---|
| Former Name | JESSICA EVA DRAVELING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 208279-6) |
| 163W00000X Registered Nurse (Licence: WI 170685-30) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2020-02-05 |