NPI | 1831496686 |
---|---|
Former Name | JENNIFER LYNN KLICKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19458) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 063883-23) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2022-03-23 |