| NPI | 1700424744 |
|---|---|
| Former Name | JACQUELYN ALICE MUNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2422) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2021-03-12 |