NPI | 1457765182 |
---|---|
Former Name | JENA LEE BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003040) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R083855) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2023-08-07 |