| NPI | 1932493095 |
|---|---|
| Former Name | JENNA L RICKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4402-33) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 157546-30) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-11-03 |