| NPI | 1518272814 |
|---|---|
| Former Name | JESSICA RENEE CAVAZOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 742454) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 742454) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 742454) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-04-16 |