NPI | 1619388790 |
---|---|
Former Name | JENNIFER MARIE WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103006) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR14843900) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-11-05 |