| NPI | 1760730188 |
|---|---|
| Former Name | JENNIFER A BREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP133873) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 088225) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-07-03 |