NPI | 1730631292 |
---|---|
Former Name | NATALIE R JENKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000095) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000021A) |
367H00000X Anesthesiologist Assistant (Licence: GA 8152) | |
Enumeration Date | 2016-11-01 |
Last Update Date | 2023-12-20 |