| NPI | 1962815357 |
|---|---|
| Former Name | JENNIFER MARY MACKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61059847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61059838) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-12-08 |