| NPI | 1972885523 |
|---|---|
| Former Name | JESSICA ROSE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0997124-CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4116) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2022-05-31 |