| NPI | 1699031781 |
|---|---|
| Former Name | JESSICA ASHLEY KETCHUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN569725) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2015-03-24 |