| NPI | 1730587395 |
|---|---|
| Former Name | JENNIFER ELIZABETH PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 663209) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-02-12 |