| NPI | 1912160649 |
|---|---|
| Former Name | JENNIFER CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 220495-4406) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60028754) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00154759) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-08-28 |