| NPI | 1972936219 |
|---|---|
| Former Name | JENNA MARIE PLAISANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R886907) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07610) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-08-06 |