| NPI | 1578061800 |
|---|---|
| Former Name | JENNIFER LEE LEATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5815) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 113602) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-09-29 |