NPI | 1952818445 |
---|---|
Former Name | JENNIFER MARIE DEVRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61145504) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9383480) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 262592) | |
Enumeration Date | 2018-01-05 |
Last Update Date | 2021-09-29 |