| NPI | 1770755647 |
|---|---|
| Former Name | JENNI KAY THIMESCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1393581101) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2011-01-31 |