NPI | 1750759973 |
---|---|
Former Name | JESSICA MARIE SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 107493) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1882609) |
163W00000X Registered Nurse (Licence: WI 19415630) | |
Enumeration Date | 2015-09-03 |
Last Update Date | 2015-09-25 |