| NPI | 1679912166 |
|---|---|
| Former Name | JENNIFER M JACQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07345) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-12-19 |