| NPI | 1992212781 |
|---|---|
| Former Name | JESSICA ROSE DERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704276310) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |