NPI | 1497053268 |
---|---|
Former Name | JENNIFER M. LASITER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 796248) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2015-04-15 |