| NPI | 1396040432 |
|---|---|
| Former Name | NICOLE JEAN GENTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.323311) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2012-08-24 |