| NPI | 1548496979 |
|---|---|
| Former Name | JENNIFER A PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60097101) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201500667CRNA) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2018-07-09 |