| NPI | 1861723587 |
|---|---|
| Former Name | JENA MARIE GLENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9186137) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ANT9186137) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2012-06-21 |