| NPI | 1689804130 |
|---|---|
| Former Name | MARLA R JETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN264073) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 66289) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-11-23 |