| NPI | 1639722739 |
|---|---|
| Former Name | JENNIFER DWORAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R2083025) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2371) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-10-26 |