NPI | 1457791873 |
---|---|
Former Name | JESSICA RENEE PLEDGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17885) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R81753) |
Enumeration Date | 2013-06-29 |
Last Update Date | 2017-11-12 |