NPI | 1629400031 |
---|---|
Former Name | JENNIFER DAWN BUDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124476) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 777740) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA 92675) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2024-03-14 |