| NPI | 1720440183 |
|---|---|
| Former Name | JESSE WALDERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 16676) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-08-13 |