NPI | 1750577177 |
---|---|
Former Name | JENNIFER M KERRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 573634) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3556) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2011-09-26 |