| NPI | 1538710645 |
|---|---|
| Former Name | JESSIKA MARIE-ALYCE PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2414) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: MN 2112585) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-01-14 |