| NPI | 1629170618 |
|---|---|
| Former Name | JODY L SHOWALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209004625) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R54232) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-12-28 |