NPI | 1932291903 |
---|---|
Former Name | JENNIFER CAROLE GLANVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 587562-1) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003576) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-03-22 |