| NPI | 1851722300 |
|---|---|
| Former Name | JESSICA ELAINE MATSAKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN312981-COA1) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |