| NPI | 1710665674 |
|---|---|
| Former Name | JENNA LEIGH WINZENREAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041480863) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-11-14 |