| NPI | 1689116311 |
|---|---|
| Former Name | JACQUELYN MOUNTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 373899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 373899) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2018-01-29 |