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 |