| NPI | 1770885717 |
|---|---|
| Former Name | JACQUELINE R BERTMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9361702) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.11919-NA) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2019-04-30 |