NPI | 1619572294 |
---|---|
Other Name | JENNA MAE WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11011054) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9495067) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2021-03-06 |