NPI | 1952644841 |
---|---|
Former Name | JENNIFER S JERDEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 208422-8) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2023-01-31 |