| NPI | 1538426663 |
|---|---|
| Former Name | JESSICA LYNN LEATHERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 35590.1404) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2016-01-14 |