| NPI | 1447439146 |
|---|---|
| Former Name | ASHLEIGH JAY SUPPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1390943081) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-08-05 |