| NPI | 1821797051 |
|---|---|
| Former Name | JENNIFER BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024189225) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-01-24 |